Third Party Administrative Services Request for Proposals ? RFP Number 270-20260421TPAS - Rebid

Location:	North Carolina
Posted:	Apr 21, 2026
Due:	May 4, 2026
Agency:	State Government of North Carolina
Type of Government:	State & Local
Category:	R - Professional, Administrative and Management Support Services
Solicitation No:	Doc2142322766
Publication URL:	To access bid details, please log in.

Solicitation Number:	Doc2142322766
Project Title:	Third Party Administrative Services Request for Proposals – RFP Number 270-20260421TPAS - Rebid
Description:	The North Carolina State Health Plan for Teachers and State Employees (Plan) seeks a Vendor who will help execute the Plan’s health benefit coverage strategy and has the technology, resources and willingness to align financial, health, and experience-based incentives between Members, providers, and the Plan. The Vendor will provide the base platform for improving health, and delivering an excellent Member and provider experience while fostering financial sustainability for the Plan.
Opening Date:	5/4/2026 10:00 AM
Posted Date:	4/22/2026
Status:	Open
Department:	STATE OF NC - STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES


Solicitation Number * Doc2142322766	Department STATE OF NC - STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES	Status Reason Open
Opening Date 2026-05-04T10:00:00.0000000	Posted Date * 2026-04-21T15:46:30.0000000Z	Primary Commodity Code Health administration services
Mandatory Conference/Site Visit — —	Special Instructions —	Solicitation Type * Select RFP IFB RFI
Owner Sharon Smith
Description The North Carolina State Health Plan for Teachers and State Employees (Plan) seeks a Vendor who will help execute the Plan’s health benefit coverage strategy and has the technology, resources and willingness to align financial, health, and experience-based incentives between Members, providers, and the Plan. The Vendor will provide the base platform for improving health, and delivering an excellent Member and provider experience while fostering financial sustainability for the Plan.

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STATE OF NORTH CAROLINA

STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES

REQUEST FOR PROPOSAL #: 270-20260421TPAS

THIRD PARTY ADMINISTRATIVE SERVICES

Date of Issue: April 21, 2026

Proposal Opening Date: May 4, 2026

At 10:00 AM ET

Direct all inquiries concerning this RFP to:

Email: Sharon.Smith@nctreasurer.com

SHPContracting@nctreasurer.com

Phone: 919-814-4432

Sealed, mailed responses ONLY will be accepted for this solicitation

Ariba System Generated Solicitation #: Doc2142322766

Proposal Number: 270-20260421TPAS

Vendor: __________________________________________

STATE OF NORTH CAROLINA

Request for Proposal #

270-20260421TPAS

______________________________________________________

For internal State Agency processing, including tabulation of Proposals, provide your company’s eVP (Electronic

Vendor Portal) Number. Pursuant to G.S. 132-1.10(b), this identification number shall not be released to the public.

To prevent such release, Vendor shall ensure confidential information on this page is Redacted when submitting

Redacted versions of this document in accordance with the instructions herein.

This page shall be filled out and returned with your Proposal.

Failure to do so may subject your Proposal to rejection.

___________________________________________________

Vendor Name

______________________________

Vendor eVP#

Note: For a Contract to be awarded to you, Your company (you) must be a North Carolina registered

Vendor in good standing. you must enter the Vendor number assigned through eVP. If you do not have

a Vendor number, register at https://evp.nc.gov/

Sealed, mailed responses ONLY will be accepted for this solicitation.

Proposal Number: 270-20260421TPAS

Vendor: __________________________________________

STATE OF NORTH CAROLINA

Department of State Treasurer, State Health Plan Division

Refer ALL Inquiries regarding this RFP to:

Sharon Smith, Senior Manager of Contracting

Sharon.Smith@nctreasurer.com

Using Agency: The North Carolina State Health

Plan for Teachers and State Employees

Requisition No.: N/A

Request for Proposal #: 270-20260421TPAS

Proposals will be publicly opened: May 4, 2026, 10:00 AM ET

Commodity No. and Description:

851017 – Health Administration Services

EXECUTION

In compliance with this RFP, and subject to all the conditions herein, the undersigned Vendor offers and agrees to furnish and deliver any or all

items upon which prices are bid, at the prices set opposite each item within the time specified herein.

By executing this Proposal, the undersigned Vendor understands that false certification is a Class I felony and certifies that:

 this Proposal is submitted competitively and without collusion,

 none of its officers, directors, or owners of an unincorporated business entity have been convicted of any violations of Chapter 78A of

the General Statutes, the Securities Act of 1933, or the Securities Exchange Act of 1934, and

 it is not an ineligible Vendor as set forth in G.S. 143-59.1.

Furthermore, by executing this Proposal, the undersigned certifies to the best of Vendor’s knowledge and belief, that:

 it and its principals are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from

covered transactions by any federal or state department or agency.

As required by G.S. 143-48.5, the undersigned Vendor certifies that it, and each of its subcontractors for any Contract awarded as a result of this

RFP, complies with the requirements of Article 2 of Chapter 64 of the NC General Statutes, including the requirement for each employer with

more than 25 employees in North Carolina to verify the work authorization of its employees through the federal E-Verify system.

G.S. 133-32 and Executive Order 24 (2009) prohibit the offer to, or acceptance by, any State Employee associated with the preparing of plans,

specifications, estimates for public contracts; or awarding or administering public contracts; or inspecting or supervising delivery of the public

contract of any gift from anyone with a contract with the State, or from any person seeking to do business with the State. By execution of this

response to the RFP, the undersigned certifies, for the Vendor’s entire organization and its employees or agents, that the Vendor is not aware

that any such gift has been offered, accepted, or promised by any employees of your organization.

By executing this Proposal, the Vendor certifies that it has read and agreed to the INSTRUCTION TO VENDORS and the GENERAL TERMS AND

CONDITIONS incorporated herein. These documents can be accessed from the ATTACHMENTS section within this document.

Failure to execute/sign proposal prior to submittal may render proposal invalid and it MAY BE REJECTED. Late proposals shall

not be accepted.

COMPLETE/FORMAL NAME OF VENDOR:

STREET ADDRESS:

P.O. BOX:

ZIP:

CITY & STATE & ZIP:

TELEPHONE NUMBER:

TOLL FREE TEL. NO:

PRINCIPAL PLACE OF BUSINESS ADDRESS IF DIFFERENT FROM ABOVE (SEE INSTRUCTIONS TO VENDORS ITEM #21):

PRINT NAME & TITLE OF PERSON SIGNING ON BEHALF OF VENDOR:

FAX NUMBER:

VENDOR’S AUTHORIZED SIGNATURE*:

DATE:

EMAIL:

VALIDITY PERIOD

Offer shall be valid for at least 180 days from date of bid opening, unless otherwise stated here: ______ days, or if extended by mutual

agreement of the Parties in writing. Any withdrawal of this offer shall be made in writing in accordance with the instructions herein.

Proposal Number: 270-20260421TPAS

Vendor: __________________________________________

ACCEPTANCE OF PROPOSAL

If your Proposal is accepted, as described in more detail in Section 4.14 Contract Documents and Order of Precedence, all provisions of this RFP,

along with the written results of any negotiations, shall constitute the written agreement between the Parties. This Contract is not binding until

the Plan’s Executive Administrator has signed this Acceptance of Proposal.

FOR STATE USE ONLY: Offer accepted and Contract awarded this________ day of __________, 2026, by

__________________________________________________________________________________________________________________

(Authorized Representative of the NC Department of State Treasurer, State Health Plan Division).

Proposal Number: 270-20260421TPAS

Vendor: __________________________________________

Contents

1.0 VISION AND BACKGROUND .................................................................................................... 8

1.1 CONTRACT TERM ........................................................................................................................ 9

2.0 GENERAL INFORMATION ........................................................................................................ 9

2.1

2.2

2.3

2.4

2.5

2.6

2.6.1

2.6.2

2.6.3

2.7

2.7.1

2.7.2

2.8

2.9

2.10

REQUEST FOR PROPOSAL DOCUMENT ............................................................................. 9

E-PROCUREMENT FEE .......................................................................................................... 9

NOTICE TO VENDORS REGARDING RFP TERMS AND CONDITIONS .............................. 9

RFP SCHEDULE .................................................................................................................... 10

PROPOSAL QUESTIONS...................................................................................................... 10

PROPOSAL SUBMISSION .................................................................................................... 11

RFP Phases for Submission ................................................................................................. 12

Minimum Requirements Proposal Submission .................................................................. 12

Technical and Cost Proposal Submission .......................................................................... 13

PROPOSAL CONTENTS ....................................................................................................... 14

Minimum Requirements Proposal Contents ....................................................................... 14

Technical and Cost Proposal Contents ............................................................................... 15

ALTERNATE PROPOSALS - RESERVED............................................................................. 15

BID OPENING ......................................................................................................................... 15

DEFINITIONS, ACRONYMS, AND ABBREVIATIONS........................................................... 15

3.0 METHOD OF AWARD AND PROPOSAL EVALUATION PROCESS ..................................... 20

3.1 METHOD OF AWARD............................................................................................................. 20

3.2 CONFIDENTIALITY AND PROHIBITED COMMUNICATIONS DURING EVALUATION ...... 20

3.3 PROPOSAL EVALUATION PROCESS.................................................................................. 20

3.4 EVALUATION CRITERIA AND METHODOLOGY ................................................................. 22

3.5 PERFORMANCE OUTSIDE THE UNITED STATES .............................................................. 23

4.0 REQUIREMENTS ..................................................................................................................... 23

4.1 PRICING .................................................................................................................................. 23

4.2 INVOICES................................................................................................................................ 24

4.2.1 Administrative Fees .............................................................................................................. 24

4.2.2 Claims and Other Disbursements........................................................................................ 24

4.3 FINANCIAL STABILITY .......................................................................................................... 25

4.4 HUB PARTICIPATION – RESERVED .................................................................................... 25

4.5 VENDOR EXPERIENCE - RESERVED .................................................................................. 25

This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.

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Third Party Administrative Services Request for Proposals ? RFP Number 270-20260421TPAS - Rebid

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